Provider Demographics
NPI:1609597624
Name:KAMAL, BRITTANY ELIZABETH (APRN)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ELIZABETH
Last Name:KAMAL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7222 S PHILLIPS AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-5626
Mailing Address - Country:US
Mailing Address - Phone:773-562-7119
Mailing Address - Fax:
Practice Address - Street 1:7222 S PHILLIPS AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-5626
Practice Address - Country:US
Practice Address - Phone:773-562-7119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041442748363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care